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[Medial epicondyle fractures in children]
Y El Andaloussi1, B Yousri, M Aboumaarouf
1Service d'orthopédie et traumatologie pédiatriques, CHU Ibn-Rochd, 202, boulevard Zerktouni, Casablanca, Maroc. yassirelandaloussi27@hotmail.com
Chirurgie De La Main
|March 14, 2007
Summary
Conservative treatment for medial epicondylar fractures in children yields better outcomes than surgery. This approach is recommended unless complications like intra-articular fragments or neurovascular issues are present.
Area of Science:
- Pediatric Orthopedics
- Pediatric Trauma Surgery
Context:
- Medial epicondylar fractures are common elbow injuries in children, often classified as Salter-Harris type I.
- Diagnosis can be challenging, yet outcomes are generally favorable.
- Treatment strategies for these fractures remain a subject of debate.
Purpose:
- To evaluate the effectiveness of conservative versus surgical treatment for medial epicondylar fractures in pediatric patients.
- To assess the relationship between fracture displacement and treatment outcomes.
- To identify complications associated with different treatment modalities.
Summary:
- A study of 59 pediatric patients (ages 7-14) with medial epicondylar fractures found conservative treatment resulted in 95% good outcomes, compared to 80% with surgical fixation.
- Fracture displacement, classified by Marion and Faysse, did not correlate with final results.
- Main complications included medial epicondyle prominence and limited elbow motion.
Impact:
- Conservative management is recommended for most medial epicondylar fractures in children due to superior outcomes and fewer complications.
- Surgical intervention should be reserved for cases with persistent intra-articular fragments or neurovascular compromise.
- Findings contribute to evidence-based guidelines for pediatric elbow fracture management.
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